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PEDS EXAM 1 / Practice Exam Questions with Correct Detailed Answers (Verified) Rated A+
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1PEDS EXAM 1 / Practice Exam Questions with
Correct Detailed Answers (Verified) Rated A+
Which assessment finding is considered a neurologic soft sign in a 7-year-old child?
a. Plantar reflex
b. Poor muscle coordination
c. Stereo gnostic function
d. Graphesthesia- ANS: B
Rationale;
A The plantar reflex is a normal response. When the lateral aspect of the sole of the foot
is stroked in a movement curving medially from the heel to the ball, the response will be
plantar flexion of the toes.
B Poor muscle coordination is a neurologic soft sign.
C Stereo gnostic function refers to the ability to identify familiar objects placed in each
hand.
D Graphesthesia is the ability to identify letters or numbers traced on the palm or back
of the hand with a blunt point.
Which parameter correlates best with measurements of the body's total muscle-mass to
fat ratio?
a. Height
b. Weight
c. Skin-fold thickness
d. Mid arm circumference- ANS: D
, 2
Rationale;
A Height is reflective of past nutritional status.
B Weight is indicative of current nutritional status.
C Skin-fold thickness is a measurement of the body's fat content.
D Mid arm circumference is correlated with measurements of total muscle mass. Muscle
serves as the body's major protein reserve and is considered an index of the body's
protein stores.
A 17-month-old child is expected to be in what stage according to Piaget?
a. Trust
b. Reoperations
c. Secondary circular reaction
d. Sensorimotor period- ANS: D
Rationale;
A Trust is Erikson's first stage.
B Reoperations is the stage of cognitive development usually present in older toddlers
and preschoolers.
C Secondary circular reactions last from approximately ages 4 to 8 months.
D The 17-month-old is in the fifth stage of the sensorimotor phase, tertiary circular
reactions. Learning in this stage occurs mainly by trial and error.
Which statement is correct about toilet training?
a. Bladder training is usually accomplished before bowel training.
b. Wanting to please the parent helps motivate the child to use the toilet.
c. Watching older siblings use the toilet confuses the child.
d. Children must be forced to sit on the toilet when first learning- ANS: B
, 3
Rationale;
A Bowel training precedes bladder training.
B Voluntary control of the anal and urethral sphincters is achieved some time after the
child is walking. The child must be able to recognize the urge to let go and to hold on.
The child must want to please the parent by holding on rather than pleasing himself or
herself by letting go.
C Watching older siblings provides role modeling and facilitates imitation for the toddler.
D The child should be introduced to the potty chair or toilet in a nonthreatening manner.
Which tool measures body fat most accurately?
a. Stadiometer
b. Calipers
c. Cloth tape measure
d. Paper or metal tape measure- ANS: B
Rationale;
A Stadiometers are used to measure height.
B Calipers are used to measure skin-fold thickness, which is an indicator of body fat
content.
C Cloth tape measures should not be used because they can stretch.
D Paper or metal tape measures can be used for recumbent lengths and other body
measurements that must be made.
When palpating the child's cervical lymph nodes, the nurse notes that they are tender,
enlarged, and warm. What is the best explanation for this?
a. Some form of cancer
b. Local scalp infection common in children
c. Infection or inflammation distal to the site
d. Infection or inflammation close to the site-ANS: D
, 4
Rationale;
Tender lymph nodes are not usually indicative of cancer.
B A scalp infection usually does not cause inflamed lymph nodes.
C The lymph nodes close to the site of inflammation or infection would be inflamed.
D Small nontender nodes are normal. Tender, enlarged, and warm lymph nodes may
indicate infection or inflammation close to their location.
Examination of the abdomen is performed correctly by the nurse in which order?
a. Inspection, palpation, and auscultation
b. Palpation, inspection, and auscultation
c. Palpation, auscultation, and inspection
d. Inspection, auscultation, and palpation- ANS: D
Rationale;
A Palpation is always performed last because it may distort the normal abdominal
sounds.
B Palpation is always performed last because it may distort the normal abdominal
sounds.
C Palpation is always performed last because it may distort the normal abdominal
sounds.
D The correct order of abdominal examination is inspection, auscultation, and palpation.
What heart sound is produced by vibrations within the heart chambers or in the major
arteries from the back-and-forth flow of blood?
a. S1, S2
b. S3, S4
c. Murmur
d. Physiologic splitting- ANS: C
Rationale;
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